Predictive echocardiographic factors of severe obstructive sleep apnea

Touil, I.; Amor, Hassen Ibn Hadj; Kéchida, M.; Boudawara, N.; Brahem, Y.; Bouchareb, S.; Hasnaoui, Mohamed Taha; Boussoffara, L.; Knani, J.

doi:10.11604/pamj.2021.38.359.28470

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…27 Long-standing, severe OSA has been associated with echocardiographic charges. 47,48 Given this association, a cardiology referral or a baseline maternal echocardiogram should be considered for patients presenting in pregnancy with severe OSA (AHI 30 or higher), especially if it has gone untreated due to either lack of access to care or nonadherence to prescribed therapy.…”

Section: Pre-existing Obstructive Sleep Apneamentioning

confidence: 99%

Common Sleep Disorders in Pregnancy

Facco

Chan

Patel

2022

Obstetrics &Amp; Gynecology

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Compared with men, women have a greater risk of sleep disorders and report higher rates of sleep disturbance. Hormonal and physiologic changes throughout the life span appear to influence a woman's ability to get a good night's sleep. Sleep disturbances are commonly reported during pregnancy, affecting more than one-half of all pregnancies and increasing as gestation progresses. The pervasiveness of sleep complaints during pregnancy may lead to a belief that these symptoms are normal or to be expected. Unfortunately, this perception may impede the accurate diagnosis of sleep disorders during this crucial time. Obstructive sleep apnea, insomnia, and restless legs syndrome are the most common sleep disorders in pregnancy. Sleep disruption in pregnancy can substantially worsen maternal quality of life and may be a risk factor for adverse pregnancy outcomes. This review outlines important considerations for obstetricians taking care of pregnant patients with sleep-related complaints.

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Section: Pre-existing Obstructive Sleep Apneamentioning

confidence: 99%

Common Sleep Disorders in Pregnancy

Facco

Chan

Patel

2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

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Prognostic value of echocardiographic parameters of cardiac remodeling in patients with hypertension and obstructive sleep apnea

et al. 2023

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Objective. To study the prognostic value of echocardiographic parameters of early cardiac remodeling in patients with hypertension (HTN) and obstructive sleep apnea (OSA). Design and methods. The study included 59 men with HTN and OSA (with an apnea/hypopnea index > 15 per hour). At baseline, all patients underwent polysomnography and echocardiography with an additional assessment of the global longitudinal strain (GLS). At baseline and at 12-month follow-up, a 6-minute walk test was performed. After 12 months, the clinical course of the disease was assessed. The criteria for an unfavorable course were episodes of hospitalization, the development of acute coronary syndrome, cerebral stroke, paroxysmal atrial fibrillation, worsening of chronic heart failure with a transition to a higher NYHA functional class. Results. In groups with favorable and unfavorable clinical course, some baseline echocardiographic parameters differed significantly: interventricular septal thickness (p = 0,037), left ventricular myocardial mass index (LVMI) (p = 0,003), tricuspid annular plane systolic excursion (TAPSE) (p < 0.001), GLS (p = 0,019), peak tricuspid regurgitation (p = 0,027), left atrial volume index (p = 0,048). Regression analysis showed that baseline TAPSE and LVMI had predictive value for an unfavorable clinical course. Conclusions. Our results confirm that certain echocardiographic parameters, in particular, LVMI and TAPSE, are predictors of the development and progression of cardiovascular complications in OSA patients.

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Predictive echocardiographic factors of severe obstructive sleep apnea

Cited by 2 publications

References 27 publications

Common Sleep Disorders in Pregnancy

Common Sleep Disorders in Pregnancy

Prognostic value of echocardiographic parameters of cardiac remodeling in patients with hypertension and obstructive sleep apnea

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